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Individual

BRIANA BUENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1417 S 9TH ST, 1417 S 9TH ST, MCALESTER, OK 74501-7001
(918) 470-4533
Mailing address
727 E WYANDOTTE AVE, MCALESTER, OK 74501-5427
(918) 470-4533

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
0
Enumeration date
04/13/2022
Last updated
04/13/2022
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